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Statistical Innovations Order Form Please complete and submit the following form. Fields marked with an asterisk (*) are required. First name   Last name*   Title   Organization   Address1   Address2   City, State, Zip   Country   Work Phone*   FAX   E-Mail*   Comments   Pricing Information Commercial / Government / Research Institutes Colleges and Universities Commercial / Government / Research Institutes Products and Support Latent Gold Products Price (All prices in US dollars) Quantity     Latent GOLD® 4.5 Basic (LG) $995 1st license $895 for each additional license      12345     Latent GOLD® Choice 4.5 Basic (LGC) $1,195 1st license $1,095 for each additional license      12345        Upgrade to Advanced version    (requires LG or LGC) $200 per license      12345        LG-SyntaxTM Add-on Module    (requires LG Advanced or LGC Advanced) $695      12345 Other Products & Support                  Price (All prices in US dollars) Quantity     SI-CHAID® 4.0 $995 1st license; $895 for each additional license      12345     GOLDMineR® $695 1st license; $595 for each additional license      12345        DBMS/COPY Option $100      12345        Extended Support $500      12345 Packages (Discounted) Software Packages Discounted Price (All prices in US dollars) Amount of Discount    Latent Gold® 4.5 Basic and    SI-CHAID® 4.0 $1,490 1st license; $1,290 for each additional license $500    Latent Gold® 4.5 Syntax version,    Latent Gold® Choice 4.5 Syntax version, and    SI-CHAID® 4.0 $3,380 1st license; $3,080 for each additional license $700    Latent Gold® 4.5 Syntax version,    Latent Gold® Choice 4.5 Syntax version, and    SI-CHAID® 4.0    GOLDMineR® $3,975 1st license; $3,575 for each additional license $800 Upgrading and Renewing Upgrading and Renewing Price (All prices in US dollars) Quantity Upgrading to Latent Gold® 4.5 from Latent Gold® 3.0 $595      12345 Upgrading to SI-CHAID® 4.0 from earlier release $295      12345 Latent GOLD® 4.5 Choice Renewal $995 1st license; $895 for each additional license      12345 Printed Documentation Software User and Technical Guides Price (All prices in US dollars) Quantity        Latent Gold® User and Technical Guide $100      12345        Latent Gold® Choice User and Technical Guide $100      12345        SI-CHAID® User and Technical Guide $100      12345 Further Discounts: (For more than 5 users please call SI for special discount packages: +1.617.489.4490) System requirements: Our software is designed for computers running Windows Vista / XP / 2000 . Shipping: please select the appropriate region: U.S.A. ($10) Mexico or Canada ($25) Outside North America ($40) Sales Tax Check this box if you must pay sales tax.       (Massachusetts businesses and universities must pay a 5% sales tax.) Payment Options (NOTE: All sales are final) Credit card (When you press the "Submit" button, you will be given instructions on how to mail/fax/phone your credit card number to us.) Check Please send me an invoice Colleges and Universities Products and Support Latent Gold Products Price (All prices in US dollars) Quantity     Latent GOLD® 4.5 Advanced (LG) $595 1st license $495 for each additional license      12345     Latent GOLD® Choice 4.5 Advanced (LGC) $695 1st license $595 for each additional license      12345        LG-SyntaxTM Add-on Module     (requires LG Academic or LGC Academic) $295      12345 Other Products & Support                  Price (All prices in US dollars) Quantity     SI-CHAID® 4.0 $695 1st license; $595 for each additional license      12345     GOLDMineR® $395 1st license; $295 for each additional license      12345        DBMS/COPY Option $100      12345        Extended Support $500      12345 Packages (Discounted) Software Packages Discounted Price (All prices in US dollars) Amount of Discount    Latent Gold® 4.5 Advanced and    SI-CHAID® 4.0 $995 1st license; $895 for each additional license $295 1st license; $195 each additional license    Latent Gold® 4.5 Syntax version,    Latent Gold® Choice 4.5 Syntax version, and    SI-CHAID® 4.0 $1,955 1st license; $1,855 for each additional license $325 1st license; $125 each additional license    Latent Gold® 4.5 Syntax version,    Latent Gold® Choice 4.5 Syntax version, and    SI-CHAID® 4.0    GOLDMineR® $2,325 1st license; $2,225 for each additional license $350 1st license; $50 each additional license Upgrading and Renewing Upgrading and Renewing Price (All prices in US dollars) Quantity Upgrading to Latent Gold® 4.5 from Latent Gold® 3.0 $295      12345 Upgrading to SI-CHAID® 4.0 from earlier release $195      12345 Latent GOLD® 4.5 Choice Renewal $495 1st license; $395 for each additional license      12345 Printed Documentation Software User and Technical Guides Price (All prices in US dollars) Quantity        Latent Gold® User and Technical Guide $100      12345        Latent Gold® Choice User and Technical Guide $100      12345        SI-CHAID® User and Technical Guide $100      12345 Further Discounts: (For more than 5 users please call SI for special discount packages: +1.617.489.4490) System requirements: Our software is designed for computers running Windows Vista / XP / 2000 / NT 4.0 / Me / 98 / 95 Shipping: please select the appropriate region: U.S.A. ($10) Mexico or Canada ($25) Outside North America ($40) Sales Tax Check this box if you must pay sales tax.       (Massachusetts businesses and universities must pay a 5% sales tax.) Payment Options (NOTE: All sales are final) Credit card (When you press the "Submit" button, you will be given instructions on how to mail/fax/phone your credit card number to us.) Check Please send me an invoice

	E-mail Contact: will@statisticalinnovations.com Address: Statistical Innovations, 375 Concord Avenue, Belmont, MA 02478-3084 Phone: +1.617.489.4490 Fax: +1.617.489.4499
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